Refer a Friend

A successful practice doesn't just happen; it is the result of a strong commitment to excellence in the professional community and in the relationships we build with our patients and colleagues. We appreciate the confidence you've placed in us to provide you with the complete care you need, and we thank you for recommending our practice to your friends and family.

If you are here to refer a friend to our practice, please provide us with the information below. Once you've completed the form, click on the SUBMIT button at the bottom of the page.

Referral Information:

Bold Fields are required.

Your Name:First and LastYour Email Address:Name of the Patient You are Referring:First and LastPatient's Phone Number:Patient's Email Address:Relationship to New Patient:i.e. parent, sibling, friend, etc.

Testimonials

I was very excited that when I called to schedule an appointment, we had one within two days of my call. Dr. Johnson and staff were very professional, but explained things to us that made it clear and easier to understand. –Christin

Everyone was really helpful and very kind. Kyleigh was very nervous about her 1st appointment., but once she got there and everyone treated her like a friend, she was excited! –Andrea

Dr. Johnson and Staff are a WONDERFUL group of people. Daylee always feels welcome when she walks in the door! Thank You all for taking her under your wings and soon she will fly with a SMILE from ear to ear with GREAT looking teeth!!! - Kris